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      The Application of One-Hour Static Qigong Program to Decrease Needle Pain of Korean Adolescents With Type 1 Diabetes: A Randomized Crossover Design

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          Abstract

          The aim of this study was to describe application of a static Qigong program to decrease needle pain in Korean adolescents with type 1 diabetes and its pilot test results. The pilot study was a randomized crossover design including 26 adolescents randomized to Qigong or rest group. Participants received a 60-minute Qigong program consisted of warm up, deep breathing, imaginary, and a closing warm up. After 24-hour washout period, treatment assignments were switched. We collected before and after intervention using a self-administered questionnaire, which included the faces pain scale to assess expected and perceived pain during blood sugar testing and insulin injection and the Positive and Negative Affect Schedule. Only expected pain on insulin injection was significantly lower after intervention ( P = .025). The results suggested that the devised static Qigong program was feasible intervention to decrease at least expected pain on insulin injection of adolescents with type 1 diabetes.

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          Most cited references18

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          Pain in children: comparison of assessment scales.

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            Mindfulness-Based Approaches with Children and Adolescents: A Preliminary Review of Current Research in an Emergent Field

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              Pain-related emotions modulate experimental pain perception and autonomic responses.

              The effect of emotions on pain perception is generally recognized but the underlying mechanisms remain unclear. Here, emotions related to pain were induced in healthy volunteers using hypnosis, during 1-min immersions of the hand in painfully hot water. In Experiment 1, hypnotic suggestions were designed to induce various positive or negative emotions. Compared to a control condition with hypnotic-relaxation, negative emotions produced robust increases in pain. In Experiment 2, induction of pain-related anger and sadness were found to increase pain. Pain increases were associated with increases in self-rated desire for relief and decreases in expectation of relief, and with increases in arousal, negative affective valence and decreases in perceived control. In Experiment 3, hypnotic suggestions specifically designed to increase and decrease the desire for relief produced increases and decreases in pain, respectively. In all three experiments, emotion-induced changes in pain were most consistently found on ratings of pain unpleasantness compared to pain intensity. Changes in pain-evoked cardiac responses (R-R interval decrease), measured in experiments 2 and 3, were consistent with changes in pain unpleasantness. Correlation and multiple regression analyses suggest that negative emotions and desire for relief influence primarily pain affect and that pain-evoked autonomic responses are strongly associated with pain affect. These results confirm the hypothesized influence of the desire for relief on pain perception, and particularly on pain affect, and support the functional relation between pain affect and autonomic nociceptive responses. This study provides further experimental confirmation that pain-related emotions influence pain perception and pain-related physiological responses.
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                Author and article information

                Journal
                J Evid Based Complementary Altern Med
                J Evid Based Complementary Altern Med
                CHP
                spchp
                Journal of Evidence-based Complementary & Alternative Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2156-5872
                2156-5899
                04 August 2017
                October 2017
                : 22
                : 4
                : 897-901
                Affiliations
                [1 ]Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, South Korea
                Author notes
                [*]Min Sohn, RN, PhD, Department of Nursing, College of Medicine, Inha University, 100 Inharo, Building 5E 301, Incheon, South Korea. Email: sohnmin@ 123456inha.ac.kr
                Article
                10.1177_2156587217722473
                10.1177/2156587217722473
                5871303
                28776413
                cc326a92-dc7c-49cc-9479-6f743ec42811
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 21 June 2016
                : 23 June 2017
                : 28 June 2017
                Funding
                Funded by: Korean National Research Foundation;
                Award ID: 2013R1A2A2A03015285
                Categories
                Original Articles

                type 1 diabetes mellitus,qigong,needle pain,positive affect,negative affect

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